{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:01:33Z","timestamp":1772989293485,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate subjective and objective submental\/neck aesthetic outcomes after hyoid myotomy and suspension (HMS) performed for obstructive sleep apnea (OSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single\u2010blind, single\u2010center, prospective cohort study including 20 adults undergoing HMS (active) and 11 adults undergoing septoplasty (control) between July 2020 and November 2022. Participants completed FACE\u2010Q Neck and Area Under Chin modules and underwent standardized frontal and lateral photography preoperatively and 6\u2009weeks postoperatively. Primary outcomes were change in cervicomental angle (CMA), hyomental distance (HMD), Rainbow Scale (RS), and FACE\u2010Q scores; frontal neck width was a secondary outcome. Between\u2010group differences in change were assessed using ANCOVA adjusting for age and baseline values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      HMS participants were older than controls (median 67 [IQR 54\u201374] vs. 47 [35\u201356] years;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021). In adjusted analyses, HMS demonstrated greater improvement than controls in FACE\u2010Q Area Under Chin (adjusted mean difference\u2009+\u200917.48; 95% CI, 2.2 to 32.8;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022), FACE\u2010Q Neck (+14.60; 95% CI, 2.1 to 27.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.025), and CMA (\u221210.17\u00b0; 95% CI, \u221219.4 to \u22121.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026). Differences were not significant for RS (\u22120.36;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.311), HMD (\u22120.69\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.095), or neck width (\u22120.20\u2009cm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.547).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this feasibility cohort with 6\u2010week follow\u2010up, HMS for OSA was associated with improved patient\u2010reported aesthetic satisfaction and a greater reduction in CMA compared with septoplasty controls. Larger studies with longer follow\u2010up are needed to assess durability and longer\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70342","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T05:41:24Z","timestamp":1769751684000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Prospective Cohort Study of Aesthetic Outcomes Following Hyoid Myotomy and Suspension for Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"11","author":[{"given":"Chad A.","family":"Nieri","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Tennessee Health Science Center  Memphis Tennessee USA"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen F.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Tennessee Health Science Center  Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Eggerstedt","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Rush University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7231-4231","authenticated-orcid":false,"given":"Meghana","family":"Chanamolu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Tennessee Health Science Center  Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8190-0091","authenticated-orcid":false,"given":"Ezer H.","family":"Benaim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Tennessee Health Science Center  Memphis Tennessee USA"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9218-1480","authenticated-orcid":false,"given":"Raj","family":"Dedhia","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Tennessee Health Science Center  Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Boyd","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Tennessee Health Science Center  Memphis Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00151008"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.07.002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001546"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2140"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810391711"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2017.05.008"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25847"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asj.2009.08.021"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000436814.11462.94"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/nmeth.2089"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjz122"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310800203"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411100604"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01676830601034532"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266\u2010022\u201002961\u20100"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/14764172.2012.758383"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002800"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0748806818791940"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjw107"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.5.440"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534\u2010198012000\u201000003"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2014.01.004"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anplas.2015.12.002"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lio2.70342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:51:17Z","timestamp":1772970677000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.70342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,29]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/lio2.70342"],"URL":"https:\/\/doi.org\/10.1002\/lio2.70342","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,29]]},"assertion":[{"value":"2025-07-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70342"}}